The DOI matches its Crossref record; 207 of the 211 references it cites were found in a registry or an index.
Communicable disease control programmes and health systems: an analytical approach to sustainability
Abstract
There is renewed concern over the sustainability of disease control programmes, and re-emergence of policy recommendations to integrate programmes with general health systems. However, the conceptualization of this issue has remarkably received little critical attention. Additionally, the study of programmatic sustainability presents methodological challenges. In this article, we propose a conceptual framework to support analyses of sustainability of communicable disease programmes. Through this work, we also aim to clarify a link between notions of integration and sustainability. As a part of development of the conceptual framework, we conducted a systematic literature review of peer-reviewed literature on concepts, definitions, analytical approaches and empirical studies on sustainability in health systems. Identified conceptual proposals for analysis of sustainability in health systems lack an explicit conceptualization of what a health system is. Drawing upon theoretical concepts originating in sustainability sciences and our review here, we conceptualize a communicable disease programme as a component of a health system which is viewed as a complex adaptive system. We propose five programmatic characteristics that may explain a potential for sustainability: leadership, capacity, interactions (notions of integration), flexibility/adaptability and performance. Though integration of elements of a programme with other system components is important, its role in sustainability is context specific and difficult to predict. The proposed framework might serve as a basis for further empirical evaluations in understanding complex interplay between programmes and broader health systems in the development of sustainable responses to communicable diseases.
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In the citing paper
“This concept of sustainability as a ‘process’ rather than an ‘outcome’, incorporates concepts of adaptation, learning and continuous development [15].”
From Navigating the sustainability landscape: a systematic review of sustainability approaches in healthcare (2018) · cites this paper as [15]
In the citing paper
“This lens allows sustainability to be viewed as a change process that can be influenced by individuals throughout initiatives by continuing to develop and adapt in response to the needs of the system [15–17].”
From Navigating the sustainability landscape: a systematic review of sustainability approaches in healthcare (2018) · cites this paper as [15]
In the citing paper
“Some work has been undertaken to review frameworks for sustainability in specific settings and programmes, but little has been done to comprehensively review available approaches for sustainability across healthcare settings [15, 18, 19].”
From Navigating the sustainability landscape: a systematic review of sustainability approaches in healthcare (2018) · cites this paper as [15]
In the citing paper
“Many approaches highlighted the importance of the ability of an initiative to garner and maintain resources [15, 27, 36–41] through stable sources [19, 36, 39, 42–45].”
From Navigating the sustainability landscape: a systematic review of sustainability approaches in healthcare (2018) · cites this paper as [15]
In the citing paper
“Despite previous work finding that ‘most frameworks proposed tend to be deterministic in nature where sustainability is viewed as an end goal’, we found that 66% of approaches we reviewed saw sustainability as a process rather than an end state [15].”
From Navigating the sustainability landscape: a systematic review of sustainability approaches in healthcare (2018) · cites this paper as [15]
In the citing paper
“Approaches to monitoring included diverse areas to assess including having appropriate data to document progress [64, 65], having a management or monitoring system in place [15, 53, 61, 66, 67], and having regular reporting and feedback mechanisms [46, 47, 52, 54, 68, 69].”
From Navigating the sustainability landscape: a systematic review of sustainability approaches in healthcare (2018) · cites this paper as [15]
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Cited by
Sorted by citations
Lennox, L., Maher, L., & Reed, J. (2018) · Implementation Science · doi:10.1186/s13012-017-0707-4 · Cited by 421
Iwelunmor, J., Blackstone, S., Veira, D., Nwaozuru, U., Airhihenbuwa, C., Munodawafa, D., Kalipeni, E., Jutal, A., Shelley, D., & Ogedegbe, G. (2015) · Implementation Science · doi:10.1186/s13012-016-0392-8 · Cited by 219
Cunningham, E. B., Wheeler, A., Hajarizadeh, B., French, C. E., Roche, R., Marshall, A. D., Fontaine, G., Conway, A., Valencia, B. M., Bajis, S., et al. (2022) · The Lancet. Gastroenterology & hepatology · doi:10.1016/s2468-1253(21)00471-4 · Cited by 150
Birken, S. A., Haines, E. R., Hwang, S., Chambers, D., Bunger, A. C., & Nilsén, P. (2020) · Implementation Science · doi:10.1186/s13012-020-01040-9 · Cited by 124
Integrating HIV and substance use services: a systematic review
Haldane, V. E., Cervero‐Liceras, F., Chuah, F. L. H., Ong, S. E., Murphy, G. A. V., Sigfrid, L., Watt, N. F., Balabanova, D., Hogarth, S., Maimaris, W., et al. (2017) · Journal of the International AIDS Society · doi:10.7448/ias.20.1.21585 · Cited by 120
Metadata
- Authors
- Shigayeva, A., & Coker, R. J.
- Affiliations
- London School of Hygiene & Tropical Medicine (GB)
- Corresponding author
- Shigayeva, Altynay
- Venue
- Health Policy and Planning
- Publisher
- Oxford University Press (OUP)
- Published
- 2014-02-21
- Volume
- 30
- Issue
- 3
- Pages
- 368-385
- ISSN
- 0268-1080 (ISSN-L)
- 1460-2237
- OpenAlex
- W2150065284
- Cited by
- 63
- References
- 211
- Citations by year
- 2025: 3 · 2024: 4 · 2023: 16 · 2022: 6 · 2021: 1 · 2020: 6 · 2019: 6 · 2018: 5 · 2017: 7 · 2016: 2 · 2015: 3 · 2014: 3
- FWCI
- 0.85
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Policy and Planning (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Public Health Policies and Education
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Healthcare Systems and Practices
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Keywords
- sustainability, health care system, program integration, complex adaptive systems, sustainability science, conceptual framework, leadership, capacity, flexibility, performance, health system resilience
- MeSH terms
- Communicable Disease Control, Delivery of Health Care, Government Programs, Humans, Leadership, Program Evaluation, Capacity Building
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